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Arison Prospective Client Survey
Group Name:
Address1:
Address2:
City:
State:
Zip Code:
Phone Number:
Ext:
Contact Person:
Decision Maker:
Do you currently have Group Health Insurance?
Yes
No
How many employees do you have?
FT:
PT:
What criteria do you use in selecting a broker?
Very Important
Important
Slightly Important
Not Important
Broker Relationship
Exceptional Service
Broker's ability to challenge/negotiate our renewal
Regular Communication
Keep me educated about compliance issues
Competitive pricing
Face-to-face meetings
Expertise in servicing my industry
Value-added services
Use of technology
Ability to service multiple locations
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1-877-8-ARISON